Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $8,912.51 / $11,748.98	Facility		$1,230.27	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $3,090.30	Professional		$1,000.00	$1,202.26	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,888.44 / $15,135.61	Facility		$1,949.84	$5,888.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,344.23	Professional		$954.99	$1,288.25	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,089.30	Professional		$954.99	$1,348.96	$2,089.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,187.76	Professional		$1,000.00	$1,479.11	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,290.87	Professional		$1,000.00	$1,230.27	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,220.18 / $15,848.93	Facility		$5,370.32	$11,220.18	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,995.26	Professional		$1,023.29	$1,318.26	$1,995.26